​

Treatment:

• Physical therapy
• Surgery

• Is used to improve range of motion and strengthen muscles

Surgery:

• Scalenectomy - used to remove the scalene muscles that may be putting pressure on nerves (1-2 hours)
• Rib resection - more complicated, used to remove any obstructions, such as an extra rib, and involves some scalenectomy (1-2 hours)
• Bypass - used to redirect blood flow around the pressured area